Coleman Block Test

- Discussion:
- coleman block test evaluates hindfoot flexibility and pronation of forefoot;
- initial deformity is in the forefoot followed by subsequent changes in the hindfoot;
- test is performed by placing the patient's foot on wood block, 2.5 to 4 cm thick, with the heel and lateral border of foot on the block and bearing full weight while the first, second, & 3rd metatarsals are allowed to hang freely into plantar flexion and pronation;

- Interpretation:
- test is based on premise that there is fixed flexion of 1st metatarsal;
- this test negates effect that forefoot (first metatarsal in plantar flexion) may have on the hindfoot in stance;
- if heel varus corrects while the patient is standing on the block, hindfoot is considered flexible;
- if subtalar joint is supple & correct w/ block test, then surgical procedures may be directed to correcting forefoot pronation, which is usually due to plantar flexion of 1st metatarsal;
- if hindfoot is rigid, then surgical correction of both forefoot & hindfoot are required

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Orthopaedics and the US Military

Text Author

Dr. Wheeless enjoys and performs all types of orthopaedic surgery but is renowned for his expertise in total joint arthroplasty (Hip and Knee replacement) as well as complex joint infections. He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital.